Most Relevant Information
Provider Data
| NPI Number: | 1003653528 |
| Provider Name: | VICTORIA SUSAN WEI FAN PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT017209 |
Most Important Dates
| Enumeration Date: | 07/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
3280 PEACHTREE RD NE # 110B
ATLANTA
GA
303052430
Practice Location Phone/Fax
| Phone: | 7703359796 |
| Fax: |
Provider Mailing Location
3280 PEACHTREE RD NE # 110B
ATLANTA
GA
303052430
Provider Mailing Phone/Fax
| Phone: | 7703359796 |
| Fax: |